GI Coding Associate II

As our Coding Assoc II, you will help the coding team with reviewing clinical documentation and diagnostic results as appropriate. Every day you will, extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance. To thrive in this role, you must have experience with FQHC and RHC coding, accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. 

 

Responsibilities:  

• Assigns codes for diagnoses, treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.  

• Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.  

• Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.  

• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines  

• Enters and validates codes, charges and other edits flagged in EPIC for review.  

• Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)  

• Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity.  

• Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.  

• Meet and/or exceeds the established coding productivity standards  

• Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards  

 

Required Qualifications:  

• High School Diploma or GED 

• Certification required CCS-P, CPC  

• FQHC or RHC experience is required. Minimum 1 year. 

• 2-3 years general surgery coding experience. 

• 2-3 years GI coding experience

• Must be able to demonstrate proficiency in professional services (95% accuracy).  

• Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines ’95 & ’97)  

• Extensive knowledge of government, and commercial payer guidelines. 

For this US-based position, the base pay range is $17.58 - $27.14 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

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